Calvary Chapel Maumelle - After School Club Student Registration

After School Club

Wednesdays @ 3:30pm - 5:30pm

Calvary Chapel Maumelle offers a free, fun and educational After School Club on Wednesdays for all children in grades K-8th. This well-supervised club will provide a safe place for kids to hang out, receive homework help and learn more about the Good News of Jesus.

Your child can expect fun activities, an interactive Bible lesson, homework assistance, games and crafts…all with exceptional and engaging volunteers! You can expect your child to receive safe and supervised oversight from approved volunteers who have undergone background checks. We will also provide on-site security personnel and first-aid care.

Your next step starts here! After you fill out the registration form below, you will receive a follow-up phone call from one of our administrative volunteers. And then…let the fun begin!

Today's Date

Parent/Guardian First Name

Parent/Guardian Last Name

Student First Name

Student Last Name

Male

Female

Tell us about your student, we want to learn to serve you!

Allergies

Student's Grade for the 2025-2026 School Year

Student Birthdate

Parent/Guardian Phone Number

Secondary Phone Number

Parent/Guardian Email

Does your student need help coming from the school to the club?

Yes

No

Have you notified the school to allow your student to leave campus with us? *All of our volunteers will have a colored lanyard and badge to make them stand out

Who is able to pick up the student?

Parent/Guardian

Friend/Relative

They are allowed to walk home alone

Pick Up Parent/Guardian First Name

Pick Up Parent/Guardian Last Name

Pick Up Parent/Guardian Contact

Friend/Relative First Name

Friend/Relative Last Name

Friend/Relative Phone Number

Phone Number of Any Additional Contact of Person Able to Pick Student Up? Enter N/A if none

Phone Number of person able to pick up student?

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Phone Number

Signature

Anything else you would like to share?

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After School Club

Wednesdays @ 3:30pm - 5:30pm

Service Times

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